GAP-CP:胸痛中的性别,年龄和表现
Stephanos Ghobrial1, Dimitrios Nasiakos1, Nils Kinnman1
1Cardiology, Royal Cornwall Hospital NHS Trust, Truro, GBR.
Cureus
|August 18, 2025
概括
胸痛的诊断因性别和年龄而异. 结合这些因素的基于风险的模型改善了冠状动脉疾病 (CAD) 的检测,而不是一刀切的方法.
科学领域:
- 心脏病学 心脏病学
- 诊断医学 诊断医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 胸痛是诊断挑战的一个常见症状.
- 胸痛的表现和结果在性别和年龄组之间可能有很大的差异.
- 当前的诊断途径可能无法充分解释这些变化.
研究的目的:
- 调查胸痛表现的性别和年龄差异,调查和冠状动脉疾病 (CAD) 严重程度.
- 为了比较不同诊断策略在胸痛管理中的有效性.
- 旨在为乳房疼痛的性别和年龄特定的选策略的开发提供信息.
主要方法:
- 对10220名被转诊到英国快速访问胸痛诊所 (2018-2024) 的患者进行了回顾性队列研究.
- 患者按性别,年龄组和胸痛类型 (典型,非典型,非心脏) 分类.
- 评估调查途径和CAD严重程度 (侵入性血管造影,非侵入性成像).
主要成果:
- 男人更有可能报告典型的胸痛,并接受侵入性血管造影.
- 女性更经常呈现异常,并接受了非侵入性成像.
- 在典型的胸痛患者中,男性,尤其是老年男性,在血管造影上出现严重CAD的比率显著更高.
结论:
- 性别和年龄特定的风险分层对于准确的胸痛诊断至关重要.
- 基于风险的模型 (例如,ESC方法) 优于通用计算机断层扫描冠状动脉扫描 (CTCA) -第一途径 (NICE建议).
- 量身定制的诊断策略可以提高准确性,减少延迟,并优化对重大冠状动脉疾病高风险患者的鉴定.
关键词:
年龄和性别差异.导管血管造影是指导管血管造影.胸部疼痛分层分层的情况计算机断层扫描冠心血管图 (CTCA)冠状动脉疾病是一种冠状动脉疾病.侵入性测试与非侵入性测试的区别快速访问胸部疼痛诊所的胸部疼痛诊所更多相关视频
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